Electronic Thesis and Dissertation Repository

Evaluating the impact of a safe exercise training workshop on knowledge and self-efficacy to manage dysfunctional exercise among eating disorders clinicians at Alsana eating disorders center

Danika A. Quesnel, The University of Western Ontario

Abstract

Engaging in dysfunctional exercise (DEX) is detrimental to eating disorders (EDs) prognosis, although common amongst clients. Though nutritionally supported exercise can improve ED treatment outcomes, without negatively impacting weight restoration, clinicians remain hesitant to address DEX, perhaps due to a lack of information and training. The current study examined the effects of a Safe Exercise at Every Stage (SEES) training on clinician knowledge and self-efficacy in managing DEX in ED treatment. Eating disorders clinicians completed measures before (n = 96) and after (n = 44) SEES training to assess their knowledge and self-efficacy around treating DEX, with a subsample completing both time points (n = 40). Paired sample t-tests revealed a significant increase in both overall self-efficacy and knowledge after the SEES training. Semi-structured interviews exploring clinicians' thoughts on managing DEX were conducted. Three themes were revealed: “The SEES Training Impact,” “Bridging the Gap Through Staff and Community Support,” and “On the Horizon”. Results highlight the benefits of clinician training round exercise I the context of ED treatment and the need for continued training and providing accessible guidelines to ED clinicians for the management of DEX.